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The Kittitas County Sheriff's Office Health Services Agreement For The Year 2022 This Agreement is between Kittitas County through Kittitas County Sheriff's Office (hereinafter "Sheriff's Office") and Comprehensive Healthcare (hereinafter the "Provider") and shall be in effect from the date signed by both parties until December 31, 2026. The Sheriff or the Provider may terminate this contract provided that at least thirty (30) days written notice is given in advance of termination. Exceptions may be made if the Sheriff deems removal is necessary. This contract shall be to provide Mental Health care within the Kittitas County Jail as outlined below: Definitions: A. Practitioner: presumptively a Psychiatric Advanced Registered Nurse Practitioner (P-ARNP) - a person who holds a current, valid license to practice as such in Washington State as defined in RCW 71.05.020 and who has prescriptive authority. The Provider may substitute another licensed medical professional whose license status includes prescriptive authority sufficient to implement and maintain existing prescriptions appropriate to the mental health condition of inmate patients. Contract Provisions: 1, The Provider will supply a qualified Practitioner who will provide Mental Health related medical assessment and treatment to inmates of the Kittitas County Jail according to established professional protocols and within their licensed capabilities, based on the assessment and recommendations made by the Mental Health Professional and/or other professionals who have evaluated the inmate. The Practitioner shall work up to three (3) hours every week, starting the first week after the effective date of this contract. Provider and the Jail agree that variations within and deviations from the currently intended schedule that do not change the number of hours of service provided may be informally agreed upon due to the nature of Jail operations, weather conditions, and other circumstances beyond the control of the parties. provider may delegate appropriate authority to the Practitionerto address such necessary deviations. The on- duty supervisor shall be the designated point of contact for such communications. 2. Qualified Substitute: Provider may, with advance notice to the Sheriffs Office, if the designated Practitioner is not available for any reason, provide a substitute for the Practitioner of equal or greater qualifications, The period of notice shall be as much as reasonably possible, consistent with the circumstances that require the substitution. lt is the intent of the partiesthat a specific substitute be designated and utilized to the greatest extent possible so that continuity of care is maintained, and the background investigation referred to in Provision Eleven (11) may be conducted in a timely manner. 3. After passage of the scheduled time previously agreed upon pursuant to Provision L (one), any additional time required for patient care shall be charged at an hourly rate described below or portion thereof in fifteen (15) minute increments as actually provided, Page 1